Trocar tip protector

ABSTRACT

A surgical system including a surgical instrument and a protection device is included. The surgical system includes a surgical instrument having an extension assembly releasably coupled thereto. The extension assembly includes a trocar member disposed within a distal end of the extension assembly and the trocar member includes an engagement feature defined in an outer surface thereof. The protection device is releasably coupled to the engagement feature of the trocar member, thereby providing a barrier adjacent a tip of the trocar member. A method of sterilizing a surgical instrument is also provided.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.14/810,979, filed on Jul. 28, 2015, the entire content of which ishereby incorporated by reference herein.

BACKGROUND 1. Technical Field

The present disclosure relates generally to surgical stapling devices.More specifically, the present disclosure relates to selectivelyremovable protection devices for reusable adapter and extensionassemblies for actuation units of surgical stapling devices.

2. Background of Related Art

Powered and manual surgical stapling devices for used in surgicalprocedures typically include a handle assembly and an end effector. Topermit reuse of the handle assemblies of these surgical stapling devicesand so that the handle assembly may be used with a variety of endeffectors, adapter assemblies and extension assemblies have beendeveloped for selective attachment to the handle assemblies and to avariety of end effectors. Following use, the adapter and/or extensionassemblies may be sterilized for reuse.

Many adapter assemblies and extension assemblies include a trocarprotruding from a distal end. The trocar may be used to puncture tissueand act as a guide to more easily align the adapter or extensionassembly with the end effector. In order to facilitate the puncturing oftissue, the trocar typically includes a sharp distal tip.

In instances where an adapter or extension assembly having a trocar isused during the surgical procedure, in preparation for sterilizationprocedures, the trocar of the adapter and/or extension assembly may beexposed, presenting a puncture or laceration risk to operating roompersonnel or others handling the assembly. Therefore, a need exists forremovable protection devices for reusable adapter and extensionassemblies for actuation units of powered and/or manual surgicalstapling devices.

SUMMARY

The present disclosure is directed to a surgical system including asurgical instrument and a protection device. The surgical instrumentincludes an extension assembly releasably coupled thereto and includes atrocar member disposed within a distal end thereof. The trocar memberincludes an engagement feature defined in an outer surface thereof. Theprotection device is releasably coupled to the engagement feature of thetrocar member, thereby providing a barrier adjacent to a tip of thetrocar member.

The protection device may also include a plurality of legs disposed on afirst end thereof and extending axially therefrom.

The plurality of legs may terminate in a bard defined on an innersurface thereof. The barb may be configured to releasably engage theengagement feature of the trocar member of the surgical instrument.

The engagement feature of the trocar member may be a lip defined in theouter surface thereof. The lip may be configured to engage acomplimentary engagement feature disposed on the protection device.

A second end of the protection device may include a conicalconfiguration defining a blunt tip, thereby inhibiting a clinician fromcontacting the tip of the trocar member.

The protection device may include an annular groove defined in an outersurface thereof configured to allow grasping of the protection device.

The protection device may be formed from a material that is suitable foruse in a sterilization process.

The second end of the protection device may define a planarconfiguration.

The second end of the protection device may include a flange disposedthereon. The flange may be configured for grasping.

The second end of the protection device may include a rectangular basehaving an outer perimeter greater than an outer diameter of a housing ofthe surgical instrument. The second end of the protection device mayinclude a flange having an outer diameter greater than an outer diameterof a housing surrounding the trocar member.

According to another aspect, the present disclosure is directed to amethod for sterilizing a surgical device. The method includes providinga surgical instrument having an extension assembly releasably coupledthereto. The extension assembly includes a trocar member disposed withina distal end thereof, wherein at least a portion of the trocar memberprotrudes from the distal end of the extension assembly. The trocarmember includes an engagement feature defined within an outer surfacethereof.

The method further includes providing a protection device configured tobe releasably coupled to the engagement feature of the trocar member,advancing the protection device over the trocar member and partiallywithin a cavity defined within the distal end of the extension assemblyuntil the protection device releasably engages the engagement feature ofthe trocar member, thereby providing a barrier adjacent to the pointeddistal tip of the trocar member, removing the extension assembly, withthe protection device releasably attached thereto, from the surgicalinstrument, and placing the extension assembly, with the protectiondevice releasably attached thereto, into a sterilization chamber.

The method may also include the protection device having a plurality oflegs disposed on a distal end thereof. The plurality of legs may extendaxially from the distal end of the protection device and terminate in abarb defined on an inner surface thereof. Each barb of the plurality oflegs may engage the engagement feature of the trocar member, therebyreleasably coupling the protection device to the trocar member.

The method may include the proximal end of the protection device havinga conical configuration defining a blunt tip, thereby inhibiting aclinician from contacting the pointed distal tip of the trocar member.

The protection device may have an annular groove defined in an outersurface thereof configured to allow grasping of the elongate body.

The method may include the protection device being constructed of amaterial suitable for use in a sterilization process.

The method may include the proximal end of the protection devicedefining a planar configuration, thereby inhibiting a clinician fromcontacting the pointed distal tip of the trocar member.

The method may include the proximal end of the protection deviceincluding a flange disposed thereon configured for grasping.

The method may include the surgical instrument having an adapterassembly configured to be selectively secured to the surgical instrumenton a first end and selectively secured to the extension assembly on asecond end.

The method may include placing the adapter assembly and the extensionassembly, including the protection device releasably attached thereto,into a sterilization chamber.

BRIEF DESCRIPTION OF THE DRAWINGS

The above and other aspects, features, and advantages of the presentdisclosure will become more apparent in light of the following detaileddescription when taken in conjunction with the accompanying drawings inwhich:

FIG. 1 is a perspective view of a powered surgical stapling devicesuitable for use with a trocar tip protector in accordance withembodiments of the present disclosure, with parts separated;

FIG. 2 is a side view of an adapter assembly and an extension assemblyof the powered surgical stapling device of FIG. 1, shown with a loadingunit and anvil assembly attached thereto;

FIG. 3 is a side, cross-sectional view, of a distal end of the extensionassembly of the powered surgical stapling device of FIG. 1 with an anvilassembly of FIG. 2 removed;

FIG. 4 is a front, perspective view, of a trocar assembly of theextension of FIG. 1;

FIG. 4A is a side, cross-sectional view, of the trocar assembly of FIG.1, taken along line 4A-4A;

FIG. 5 is a front, perspective view, of a trocar tip protector providedin accordance with an exemplary embodiment of the present disclosure;

FIG. 6 is a front, perspective view, of another trocar tip protectorprovided in accordance with an exemplary embodiment of the presentdisclosure;

FIG. 7 is a front, perspective view, of another trocar tip protectorprovided in accordance with an exemplary embodiment of the presentdisclosure;

FIG. 8 is a perspective view of the trocar tip protector of FIG. 6advanced over a trocar of the extension assembly of FIG. 2;

FIG. 8A is side, cross-sectional view, of the distal end of theextension assembly of FIG. 8, taken along line 8A-8A;

FIG. 9 is a perspective view of a manual surgical stapling devicesuitable for use with the trocar tip protector in accordance with thepresent disclosure;

FIG. 10 is a perspective view of another trocar tip protector providedin accordance with an exemplary embodiment of the present disclosure;and

FIG. 11 is a side cross-sectional view of the trocar tip protector ofFIG. 10 advanced over a trocar of the extension assembly of FIG. 2.

DETAILED DESCRIPTION OF EMBODIMENTS

Embodiments of the present disclosure are now described in detail withreference to the drawings in which like reference numerals designateidentical or corresponding elements in each of the several views. Asused herein, the term “clinician” refers to a doctor, a nurse or anyother care provider and may include support personnel. Throughout thisdescription, the term “proximal” will refer to the portion of the deviceor component thereof that is closer to the clinician and the term“distal” will refer to the portion of the device or component thereofthat is farther from the clinician. Additionally, in the drawings and inthe description that follows, terms such as front, rear, upper, lower,top, bottom, and similar directional terms are used simply forconvenience of description and are not intended to limit the disclosure.In the following description, well-known functions or constructions arenot described in detail to avoid obscuring the present disclosure inunnecessary detail.

With reference to FIG. 1, a powered surgical stapling device (surgicalinstrument) suitable for use with a trocar tip protector (protectiondevice) 200 (FIG. 5) is illustrated and generally identified byreference numeral 100. Powered surgical stapling device 100 includes anadapter assembly 110, an extension assembly 120, and a handle assembly130. As illustrated in FIG. 1, handle assembly 130 is configured forselective connection with adapter assembly 110, and, in turn, adapterassembly 110 is configured for selective connection with extensionassembly 120. Extension assembly 120 is configured for selectiveconnection with a circular loading unit 140 (FIG. 2) and an anvilassembly 144 (FIG. 2), for applying a circular array of staples (notshown) to tissue (not shown).

Handle assembly 130 includes a handle housing 132 and a lower housingportion 134, an intermediate housing portion 136 extending from and/orsupported on a lower housing portion 134, and an upper housing portion138 extending form and/or supported on intermediate housing portion 136.A distal half-section of upper housing portion 138 defines a nose orconnecting portion 138 a configured to accept a corresponding drivecoupling assembly (not shown) of adapter assembly 110. For a detaileddescription of the structure and function of an exemplary surgicaldevice, please refer to commonly owned U.S. Patent ApplicationPublication No. 2012/0253329, the content of which is incorporated byreference herein in its entirety.

Adapter assembly 110 includes a proximal end 112 configured for operableconnection to connecting portion 138 a of handle assembly 130 and adistal end 114 configured for operable connection to extension assembly120. For a detailed description of the structure and function of anexemplary adapter assembly, please refer to commonly owned U.S. Pat.Appl. Publ. No. 2012/0253329, the contents of which is incorporated byreference herein in its entirety.

Extension assembly 120 is configured to operably connect adapterassembly 110 with a circular loading unit 140 (FIG. 2) and an anvilassembly 144 (FIG. 2) for applying a circular array of staples (notshown) to tissue (not shown). Extension assembly 120 includes a proximalend 122 configured to operably connect with distal end 114 of adapterassembly 110. Distal end 124 of extension assembly 120 is configured tooperably connect with loading unit 140 and anvil assembly 144. It iscontemplated that any suitable loading unit, anvil assembly, and adapterassembly may be utilized with extension assembly 120. Exemplary loadingunits and anvil assemblies are described in commonly owned U.S. Pat. No.8,590,763 and U.S. patent application Ser. No. 14/056,301, published asU.S. Patent Application Publication No. 2015/0108201, and Ser. No.14/149,355, now U.S. Pat. No. 9,579,099, the contents of each beingincorporated herein by reference in their entirety.

Extension assembly 120 includes a trocar assembly 150 (FIGS. 3, 4, and4A) disposed within an outer sleeve 126 of extension assembly 120 andprotruding from distal end 124, as best illustrated in FIG. 3. Trocarassembly includes a housing 155 with a distal end 155 a. A distal end oftrocar assembly 150 includes a trocar member 152 defining a generallycylindrical configuration having a pointed tip 152 a. A proximal end oftrocar member 152 includes an annular groove 154 defined within an outersurface thereof and forming a proximal facing lip 154 a adapted toselectively engage anvil assembly 144. With reference to FIG. 5, anexemplary embodiment of a trocar tip protector (protection device)provided in accordance with the present disclosure is illustrated andgenerally identified by reference numeral 200. Trocar tip protector 200includes an elongate body 210 including a proximal end 212 and a distalend 214. Although elongate body 210 is shown as generally including acircular cross section, it is contemplated that elongate body 210 mayinclude any suitable shape, such as square, rectangular, octagonal, orthe like. Proximal end 212 is generally shown as defining a generallyconical shape, defining a blunt tip 212 a. A recess 216 is defined in anouter surface of elongate body 210 and is adapted to enable a clinicianto easily grasp elongate body 210. Although shown as generally having acircular shape, it is contemplated that recess 216 may include anysuitable shape enabling ease of grasping. A plurality of legs 218 extenddistally from distal end 214 and terminate in a barb 220. Barb 220 ofeach leg 218 extends radially inward such that barb 220 may releasablyengage annular groove 154 of trocar member 152. In this manner, barb 220is prohibited from passing distally over proximal facing lip 154 a ofannular groove 154 without external force (e.g., legs 218 deflecting upand over lip 154 a). As best illustrated in FIGS. 8 and 8A, trocar tipprotector 200 advances over trocar member 154 until pointed distal tip152 a is positioned within body 210 of trocar tip protector 200, therebyinhibiting a clinician from contacting the sharp distal tip 152 a.Although trocar tip protector 200 is generally shown having four legs,it is contemplated that any suitable number of legs may be employed toenable trocar tip protector 200 to releasably engage annular groove 154of trocar member 152, such as two, three, five, six, etc. As can beappreciated, trocar tip protector 200 may be constructed of any suitablematerial for use during a sterilization process, such as a metallic,polymeric, or composite material.

In operation, with reference to FIGS. 1-7, after a procedure isperformed on a patient and the loading unit 140 has been fired,extension assembly 120 may be removed from adapter assembly 110. It isalso contemplated that both adapter assembly 110 and extension assembly120 may be removed together from the handle assembly 130. After removingthe extension assembly 120 from the adapter assembly 110, the anvilassembly 144 may be removed from trocar member 152 and thereafter,loading unit 140 may be removed from the distal end of extensionassembly 120, thereby exposing the sharp distal tip 152 a of trocarmember 152. At this point, trocar tip protector 200 may be advanced overthe pointed distal tip 152 a of trocar member 152 and into a cavity 126a defined in the distal end 124 of outer sleeve 126 of extensionassembly 120. Trocar tip protector 200 may continue to be advanced overthe trocar member 152 until barbs 220 of trocar tip protector 200 fullyengage annular groove 154 of trocar member 152 such that a portion ofthe trocar tip protector 200 is disposed within cavity 126 a and trocartip 152 a is positioned within body 210. Trocar tip protector 200 thusprovides a barrier adjacent the pointed distal tip 152 a and inhibitingcontact therewith by a clinician or other person. In this manner, theclinician or other person is protected from puncture wounds or abrasionsthat may result from contact with the pointed distal tip 152 a.Extension assembly 120, with trocar tip protector 200 secured thereto,may then be placed into a suitable sterilization chamber and thesterilization process may begin. It is contemplated that the adapterassembly 110, extension assembly 120, and the trocar tip protector 200may be placed within a suitable sterilization chamber as an assembledunit. After the sterilization process is complete, extension assembly120, with trocar tip protector 200 remaining attached thereto, may beremoved from a suitable sterilization chamber and set aside until a newloading unit 140 is ready to be installed thereon. Only at this point istrocar tip protector 200 removed from trocar member 152, therebyprotecting a clinician from any abrasion or puncture wounds during theabove described process.

Referring now to FIG. 6, another embodiment of a trocar tip protector(protection device) provided in accordance with another exemplaryembodiment of the present disclosure is illustrated and generallyidentified by reference numeral 300. Trocar tip protector 300 includesbody 310, recess 316, and barbs 320 on legs 318 which extend from distalend 314 of body 310. Thus, trocar tip protector 300 is substantiallysimilar to trocar tip protector 200 except that the proximal end 312defines a generally planar configuration. In operation, trocar tipprotector 300 is utilized in a similar fashion to that of trocar tipprotector 200, and therefore, in the interest of brevity, a detaileddescription of the operation of trocar tip protector 300 will not begiven herein.

Turning now to FIG. 7, yet another exemplary embodiment of a trocar tipprotector (protection device) in accordance with the present disclosureis illustrated and generally identified by reference numeral 400. Trocartip protector 400 includes body 410, recess 416, and barbs 420 on legs418 which extend from distal end 414 of body 410. Thus, trocar tipprotector 400 is substantially similar to trocar tip protector 200except that the proximal end 412 includes a flared distal end defining aflange 412 a having circular shape with an outer diameter greater thanthat of elongate body 410. The larger outer diameter of the flange 412 aprovides a large surface area for the clinician to grasp. Although theproximal surface 412 b of proximal end 412 is generally shown as havinga depression formed therein, it is contemplated that the proximalsurface 412 b may include any suitable shape, such as convex, planar, orthe like. In operation, trocar tip protector 400 is utilized in asimilar fashion to that of trocar tip protector 200, and therefore, inthe interest of brevity, a detailed description of the operation oftrocar tip protector 400 will not be given herein.

While the trocar tip protectors have been described herein with respectto powered stapling devices, it should of course be understood that thepresent trocar tip protectors are also suitable for use with manualstapling devices. For example, referring to FIG. 9, a manual surgicalstapling device suitable for use with a trocar tip protector inaccordance with the present disclosure is illustrated and generallyidentified by reference numeral 500. Manual surgical stapling device 500generally includes a handle assembly 510, extension assembly 520,extending distally therefrom and terminating in a distal end 524. Atrocar assembly 550 is disposed within extension assembly 520 andextends distally therefrom. Trocar assembly 550 is similar to that oftrocar assembly 150 of extension assembly 120, described above, andtherefore, in the interest of brevity, details of trocar assembly 150will not be discussed in detail herein. For a detailed description ofthe structure and function of an exemplary manual surgical staplingdevice, reference may be made to U.S. Patent Application Publication No.2014/0263548, the content of which is incorporated by reference hereinin its entirety. In operation, a trocar tip protector may be selectivelysecured to trocar assembly 150 in a similar fashion to the methoddescribed above with respect to a powered surgical device 100.

Referring now to FIGS. 10 and 11, another exemplary embodiment of atrocar tip protector (protection device) in accordance with the presentdisclosure is illustrated and generally identified by reference numeral600. Trocar tip protector 600 includes body 610, recess 616, and barbs620 on legs 618 which extend from distal end 614 of body 610. Thus,trocar tip protector 600 is substantially similar to previouslydisclosed trocar tip protectors 200, 300, 400 except that proximal end612 includes a rectangular base 617. Rectangular base 617 has an outerperimeter that is greater than an outer diameter of body 610 and anouter diameter of loading unit 140. The rectangular configuration ofbase 617 provides a larger surface area than that of proximal end 312(FIG. 6) of trocar tip protector 300 and flange 412 a (FIG. 7) of trocartip protector 400. This increased surface area of base 617 allows thebase 617 to be placed on a horizontal surface (e.g., table, countertop,etc.) so that the clinician may push the adapter assembly 110 towardsthe trocar tip protector 600 such that the protruding pointed tip 152 aof trocar assembly 150 is received in body 610, thereby inhibiting aclinician from contacting the sharp distal tip 152 a. The increasedsurface area of the base 617 provides a high degree of stability andreduces the likelihood that base 617 will move or wobble while theclinician is inserting the pointed tip 152 a into body 610.Additionally, trocar tip protector 600 has a flange 615 locatedproximally of recess 616. Flange 615 has an outer diameter that isgreater than distal end 614 and legs 618. The outer diameter of flange615 is also greater than an outer diameter of the housing 155 of trocarassembly 150. As the outer diameter of the flange 615 is greater thanthe outer diameter of the housing 155, the trocar tip protector 600inhibits the clinician from fully retracting the trocar assembly 150while the trocar tip protector 600 is coupled to the trocar assembly150. The amount of proximal movement of the trocar member 152 is limitedas proximal movement of the trocar member 152 will cause correspondingproximal movement of the trocar tip protector 600 until the flange 615abuts the distal end 155 a of the housing 155, thereby inhibitingfurther proximal movement of the trocar member 152.

Persons skilled in the art will understand that the devices and methodsspecifically described herein and illustrated in the accompanyingdrawings are non-limiting exemplary embodiments. It is envisioned thatthe elements and features illustrated or described in connection withone exemplary embodiment may be combined with the elements and featuresof another without departing from the scope of the present disclosure.As well, one skilled in the art will appreciate further features andadvantages of the disclosure based on the above-described embodiments.Accordingly, the disclosure is not to be limited by what has beenparticularly shown and described, except as indicated by the appendedclaims.

1. (canceled)
 2. A trocar protection device, comprising: an elongatebody extending between a proximal end portion and a distal end portion,the proximal end portion defining a cavity therein that is configured toreceive and envelop a tissue piercing tip of a trocar member of asurgical instrument; and a plurality of legs disposed on the proximalend portion and extending axially therefrom, the plurality of legsconfigured to releasably couple to an annular groove defined in a trocarmember of a surgical instrument, wherein the distal end portion definesa blunt configuration.
 3. The trocar protection device according toclaim 2, wherein the plurality of legs terminates in a barb defined onan inner surface thereof, the barb configured to releasably engage anannular groove of a trocar member of a surgical instrument.
 4. Thetrocar protection device according to claim 3, wherein the barbs areconfigured to engage a lip defined on an outer surface of an annulargroove of a trocar member of a surgical instrument.
 5. The trocarprotection device according to claim 2, wherein an outer surface of theelongate body defines an annular groove therein, the annular grooveconfigured to allow grasping of the trocar protection device.
 7. Thetrocar protection device according to claim 2, wherein the trocarprotection device is formed from a material suitable for use in asterilization process.
 8. The trocar protection device according toclaim 2, wherein the distal end portion defines a planar configurationhaving a rectangular base including an outer perimeter greater than anouter diameter of a housing of a surgical instrument.
 9. The trocarprotection device according to claim 2, wherein the distal end portiondefines a conical configuration defining a blunt tip, the blunt tipinhibiting a clinician from contacting a tip of a trocar member.
 10. Thetrocar protection device according to claim 2, wherein the distal endportion includes a flange disposed thereon configured for grasping. 11.The trocar protection device according to claim 10, wherein the flangeincludes an outer diameter that is greater than an outer diameter of ahousing surrounding a trocar member of a surgical instrument.